SciELO - Scientific Electronic Library Online

 
vol.110 número3A comparison of submucosal tunneling endoscopic resection and endoscopic full-thickness resection for gastric fundus submucosal tumorsManejo del déficit de hierro y la anemia ferropénica en la enfermedad inflamatoria intestinal. Resultados de la encuesta "Gestiona Hierro-EII" índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista Española de Enfermedades Digestivas

versión impresa ISSN 1130-0108

Resumen

CASAS, Meritxell et al. Inter and intra-observer concordance for the diagnosis of portal hypertension gastropathy. Rev. esp. enferm. dig. [online]. 2018, vol.110, n.3, pp.166-171. ISSN 1130-0108.  http://dx.doi.org/10.17235/reed.2018.5169/2017.

Introduction:

At present there is no fully accepted endoscopic classification for the assessment of the severity of portal hypertensive gastropathy (PHG). Few studies have evaluated inter and intra-observer concordance or the degree of concordance between different endoscopic classifications.

Objectives:

To evaluate inter and intra-observer agreement for the presence of portal hypertensive gastropathy and enteropathy using different endoscopic classifications.

Methods:

Patients with liver cirrhosis were included into the study. Enteroscopy was performed under sedation. The location of lesions and their severity was recorded. Images were videotaped and subsequently evaluated independently by three different endoscopists, one of whom was the initial endoscopist. The agreement between observations was assessed using the kappa index.

Results:

Seventy-four patients (mean age 63.2 years, 53 males and 21 females) were included. The agreement between the three endoscopists regarding the presence or absence of PHG using the Tanoue and McCormack classifications was very low (kappa scores = 0.16 and 0.27, respectively).

Conclusions:

The current classifications of portal hypertensive gastropathy have a very low degree of intra and inter-observer agreement for the diagnosis and assessment of gastropathy severity.

Palabras clave : Gastropathy; Enteropathy; Classification; Concordance. Endoscopy; Degree; Intra-observer; Inter-observer.

        · resumen en Español     · texto en Español | Inglés     · Español ( pdf ) | Inglés ( pdf )